Dental Board of California
Licensing details for: 54594
Name: KHAMSEI, LEILA
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
Address of Record
5 Irish Moss St
LADERA RANCH CA 92694-0746
ORANGE county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN JUAN FAMILY DENTISTRY, DENTAL OFFICE OF DR. LEILA KHAMSEI
License/Registration Type: Fictitious Name Permit
License Number: 19068 Primary Status: Current - Active
Address :
31952 CAMINO CAPISTRANO STE. C14
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SAN JUAN FAMILY DENTISTRY, DENTAL OFFICE OF DR. LEILA KHAMSEI
License/Registration Type: Fictitious Name Permit
License Number: 19068 Primary Status: Current - Active
Address :
31952 CAMINO CAPISTRANO STE. C14
SAN JUAN CAPISTRANO CA 92675
ORANGE COUNTY
